Provider Demographics
NPI:1164879284
Name:SODEN, AMANDA AKINYI LUDKA (LPC)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:AKINYI LUDKA
Last Name:SODEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 SW MILLER CT
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-5210
Mailing Address - Country:US
Mailing Address - Phone:503-719-3000
Mailing Address - Fax:
Practice Address - Street 1:721 SW MILLER CT
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97080-5210
Practice Address - Country:US
Practice Address - Phone:503-660-3097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health